Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.42 / $98.31 / $131.86	Professional		$75.42	$98.31	$131.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.55 / $36.00 / $171.14	Professional	26	$21.55	$36.00	$171.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.92 / $69.34 / $95.68	Professional	TC	$51.92	$69.34	$95.68
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $50.00 / $50.00 / $54.33	Professional	26	$50.00	$50.00	$54.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.64 / $44.64 / $253.66	Professional		$44.64	$44.64	$253.66
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.54 / $13.54 / $73.90	Professional	26	$13.54	$13.54	$73.90
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.10 / $31.10 / $185.30	Professional	TC	$31.10	$31.10	$185.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.94 / $76.97 / $346.80	Professional		$36.94	$76.97	$346.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.72 / $22.19 / $87.78	Professional	26	$12.72	$22.19	$87.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.70 / $47.81 / $257.13	Professional	TC	$23.70	$47.81	$257.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $113.91 / $190.69 / $921.81	Professional		$113.91	$190.69	$921.81
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $48.27 / $253.04	Professional	26	$28.84	$48.27	$253.04
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $85.08 / $142.41 / $668.77	Professional	TC	$85.08	$142.41	$668.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.65 / $120.24 / $215.19	Professional		$35.65	$120.24	$215.19
United Facility/Professional Professional Modifier Low / Median / High Price $67.18 / $106.51 / $284.02	Professional		$67.18	$106.51	$284.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.92 / $33.39 / $72.08	Professional	26	$19.92	$33.39	$72.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.24 / $73.51 / $199.12	Professional	TC	$44.24	$73.51	$199.12